MEDICARE: SLEEP CARE CENTERS OF AMERICA INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QS1200X	Sleep Disorder Diagnostic Clinic/Center	HCC5590	FL
2	261QS1200X	Sleep Disorder Diagnostic Clinic/Center	HCC5593	FL
3	261QS1200X	Sleep Disorder Diagnostic Clinic/Center	HCC5591	FL
4	261QS1200X	Sleep Disorder Diagnostic Clinic/Center	HCC8326	FL
5	261QS1200X	Sleep Disorder Diagnostic Clinic/Center	HCC5592	FL

General Provider Information

NPI Number	:	1871568543
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLEEP CARE CENTERS OF AMERICA INC

Provider Business Mailing Address
First Line	:	1679 EAGLE HARBOR PARKWAY
Second Line	:	SUITE A
City	:	ORANGE PARK
State	:	FL
Zip	:	32003-4816
Country	:	US
Telephone Number	:	904-215-7556
Fax Number	:	904-215-7557

Provider Business Practice Location Address
First Line	:	1679 EAGLE HARBOR PARKWAY
Second Line	:	SUITE A
City	:	ORANGE PARK
State	:	FL
Zip	:	32003-4816
Country	:	US
Telephone Number	:	904-215-7556
Fax Number	:	904-215-7557

Authorized Official
Title or Position	:	CEO
Name	:	ROBERT ASPINWALL
Credential	:
Telephone Number	:	904-215-7556

Provider Enumeration Date	:	02/17/2006
Last Update Date	:	02/08/2017

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